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Glycogen synthase kinase-3 inhibition attenuates fibroblast activation and development of fibrosis following renal ischemia-reperfusion in mice.

Abstract
Glycogen synthase kinase-3β (GSK3β) is a serine/threonine protein kinase that plays an important role in renal tubular injury and regeneration in acute kidney injury. However, its role in the development of renal fibrosis, often a long-term consequence of acute kidney injury, is unknown. Using a mouse model of renal fibrosis induced by ischemia-reperfusion injury, we demonstrate increased GSK3β expression and activity in fibrotic kidneys, and its presence in myofibroblasts in addition to tubular epithelial cells. Pharmacological inhibition of GSK3 using TDZD-8 starting before or after ischemia-reperfusion significantly suppressed renal fibrosis by reducing the myofibroblast population, collagen-1 and fibronectin deposition, inflammatory cytokines, and macrophage infiltration. GSK3 inhibition in vivo reduced TGF-β1, SMAD3 activation and plasminogen activator inhibitor-1 levels. Consistently in vitro, TGF-β1 treatment increased GSK3β expression and GSK3 inhibition abolished TGF-β1-induced SMAD3 activation and α-smooth muscle actin (α-SMA) expression in cultured renal fibroblasts. Importantly, overexpression of constitutively active GSK3β stimulated α-SMA expression even in the absence of TGF-β1 treatment. These results suggest that TGF-β regulates GSK3β, which in turn is important for TGF-β-SMAD3 signaling and fibroblast-to-myofibroblast differentiation. Overall, these studies demonstrate that GSK3 could promote renal fibrosis by activation of TGF-β signaling and the use of GSK3 inhibitors might represent a novel therapeutic approach for progressive renal fibrosis that develops as a consequence of acute kidney injury.
AuthorsShailendra P Singh, Shixin Tao, Timothy A Fields, Sydney Webb, Raymond C Harris, Reena Rao
JournalDisease models & mechanisms (Dis Model Mech) Vol. 8 Issue 8 Pg. 931-40 (Aug 01 2015) ISSN: 1754-8411 [Electronic] England
PMID26092126 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
Copyright© 2015. Published by The Company of Biologists Ltd.
Chemical References
  • 4-benzyl-2-methyl-1,2,4-thiadiazolidine-3,5-dione
  • Inflammation Mediators
  • Protein Kinase Inhibitors
  • Thiadiazoles
  • Transforming Growth Factor beta
  • beta Catenin
  • Glycogen Synthase Kinase 3 beta
  • Gsk3b protein, mouse
  • Glycogen Synthase Kinase 3
Topics
  • Animals
  • Cell Differentiation (drug effects)
  • Cell Line
  • Epithelial Cells (drug effects, metabolism)
  • Extracellular Matrix (drug effects, metabolism)
  • Fibroblasts (drug effects, enzymology, pathology)
  • Fibrosis
  • Glycogen Synthase Kinase 3 (antagonists & inhibitors, metabolism)
  • Glycogen Synthase Kinase 3 beta
  • Inflammation Mediators (metabolism)
  • Kidney (drug effects, enzymology, pathology)
  • Macrophages (drug effects, metabolism)
  • Mice, Inbred C57BL
  • Myofibroblasts (drug effects, metabolism, pathology)
  • Protein Kinase Inhibitors (pharmacology, therapeutic use)
  • Reperfusion Injury (drug therapy, enzymology, pathology)
  • Signal Transduction (drug effects)
  • Thiadiazoles (pharmacology, therapeutic use)
  • Transforming Growth Factor beta (metabolism)
  • beta Catenin (metabolism)

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